Syngeneic peripheral blood stem cell transplantation with brief immunosuppression for severe aplastic anemia.

Abstract:

:We report the cases of two severe aplastic anemia (SAA) patients who were successfully treated with syngeneic peripheral blood stem cell transplantation (PBSCT) using immunosuppression without high-dose chemotherapy or irradiation for conditioning. A 21-year-old woman with SAA of 6 years duration had been transfused heavily before transplantation and had developed refractory thrombocytopenia, chronic hepatitis and secondary hematochromatosis. Syngeneic PBSCT with immunosuppression using ATG, methylprednisolone, and cyclosporin-A was eventually performed without high-dose chemotherapy in September 1997. The second syngeneic PBSCT with the same immunosuppression was successfully performed in a 35-year-old male patient who had had SAA for 3 months in November 1998. Haemopoietic engraftment was rapid and sustained. There was no infection or mucositis during the syngeneic PBSCT. The patients are currently 9 to 22 months post-PBSCT without rejection. Our experience suggests that syngeneic PBSCT with brief immunosuppression is an effective alternative to pretransplant high-dose chemotherapy conditioning for SAA patients having syngeneic transplantation. Bone Marrow Transplantation (2000) 25, 337-339.

journal_name

Bone Marrow Transplant

authors

Hwang WL,Yang Y,Chen GR,Tsai CS,Jour JH

doi

10.1038/sj.bmt.1702150

subject

Has Abstract

pub_date

2000-02-01 00:00:00

pages

337-9

issue

3

eissn

0268-3369

issn

1476-5365

journal_volume

25

pub_type

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